Active NPI
Ashley Marie Acosta, OD
- Optometrist
- Miami, FL
National Provider Identifier
1265004402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5924
- Practice address
- 11501 SW 40TH St
Miami, FL 33165-3313 - Phone
- (305) 642-5366
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.91 of 100
- Quality
- 87.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 78.17
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921000447 | NY | Practitioner - Optometry | 4789080144 | Reassigns benefits to 1 organization |
| I20241023004638 | FL | Practitioner - Optometry | 4789080144 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00706300 | NJ | MD | Optometrist |
| 27OM00173600 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Eye Surgery of New York PC | Current | Accepting new patients | |
| Optometry Associates, LLC | Optometrist | Current | Accepting new patients |
Locations
8600 NW 41st St
Ste 101
Doral, FL 33166
Phone (786) 835-0428
20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ashley.acosta.p2@direct.omnieyeservices.nextgenshare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5924 | FL | Primary |
| Optometrist | 152W00000X | 27OA00706300 | NJ | |
| Optometrist | 152W00000X | 27OM00173600 | NJ |
Addresses
NPPES NPI RegistryPrimary practice location
11501 SW 40TH St
Miami, FL 33165-3313
Mailing address
8600 NW 41St St Ste 101
Doral, FL 33166-6202
Phone (305) 642-5366
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125395900 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2025.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1265004402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 NW 41ST ST STE 101",
"city": "DORAL",
"state": "FL",
"postal_code": "331666202",
"telephone_number": "305-642-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653313",
"telephone_number": "305-642-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5924",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00706300",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00173600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125395900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.